APPLICATION FOR GSIS SEPARATION/RETIREMENT BENEFIT & PAG IBIG PROVIDENT BENEFIT CLAIM

At a glance

Before you begin

Service classification

Simple

Service sector

Core Governance and Institutional Development

Prepare your documents

Checklist of requirements

Bring the listed documents and secure them from the indicated office or source.

CHECKLIST OF REQUIREMENTS	WHERE TO SECURE
GSIS Separation/Retirement Benefit:
1. Duly Accomplished Application form for Retirement/Separation/Life Insurance Benefits (2 original copies)	Human Resource Management Office/ can be downloaded at: https://www.gsis.gov.ph/downloads/forms/20170707-FORMS Retirement-Separation-Life_Insurance-06302017.pdf
2. Service Record (2 original copies)	Human Resource Management Office
3. Declaration of Pendency/ Non-Pendency of Case (DPNPC) to be submitted upon receipt from GSIS (1 original copy)	Human Resource Management Office/GSIS
Pag IBIG Provident Benefit Claim
1. Duly Accomplished Application form for PAG-IBIG Provident Benefit Claim (2 original copies)	Human Resource Management Office/ can be downloaded at: https://www.pagibigfund.gov.ph/document/pdf/dlforms/providentrelated/PFF285_ApplicationProvidentBenefitsClaim_V08.pdf
2. Pag-IBIG Loyalty Card/Loyalty Card Plus or one (1) valid ID of the member (1 Photocopy)	Applicant
3. Service Record (1 original copies)	Human Resource Management Office
4. GSIS Clearance (1 photocopy)	GSIS
5. PSA Authenticated Copies of Birth Certificate	PSA

What happens next

Process, fees, and timeline

Follow the citizen and agency steps in order. Processing time may depend on complete submissions.

CLIENT STEPS	DEPARTMENT ACTIONS	FEES TO BE PAID	PROCESSING TIME	PERSON RESPONSIBLE
1. Applicant to submit accomplished separation/retirement form/ accomplished PAG-IBIG Provident Benefit Claim form with complete attachments	1.1 Check and receives GSIS application form for separation/retirement/accomplished PAG-IBIG Provident Benefit Claim and attachments	None	5 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
	1.2 Log the data of the applicant	None	2 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
	1.3 Forward the application for signature of Agency Authorized Officer	None	3 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office or Mary Jane Z. Calupig Human Resource Management Officer Human Resource Management Office
	1.4 Prepares receiving copy of application form for file copy to be received by the applicant and GSIS/ PAGIBIG	None	5 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
	1.5 Transmit the application forms and its attachments to the GSIS/ PAG_IBIG	None	1 Day	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
	1.6 Advise the applicant to wait for the notification of claim approval from GSIS and PAG-IBIG	None	2 minutes	Jeanne C. Cabriga Administrative Officer IV Human Resource Management Office
For GSIS: 2. Prepare for the submission of Declaration of Pendancy/ Non Pendancy of Case (DPNPC)
	TOTAL:	None	1 Day, 17 minutes
		END OF TRANSACTION

This digital guide reflects the Citizen’s Charter records published by the City Government of Tayabas. Offices may request additional supporting documents when required by law or by the particulars of a transaction.